| NPI | 1659080463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: FL PT25013) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT25013) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |